I woke up this morning with a new floater so my doctor asked me to come in again (I was just there yesterday) so she could take a look. While I was there, she saw new bleeding and decided to start on the lasers today. I’ve been all over the internet in the past week looking for some comprehensive explanation of the procedure and have found nothing so I hope this helps some people.
This surgery essentially destroys the peripheral retina so cut down on the stimulus on the blood vessels so they don’t try to move as much blood through them. It won’t correct any current bleeds but it will eventually delay or prevent any in the future. It takes some time for the blood vessels to regress, though.
She gave me several dilating drops and some local anesthetic (numbing drops) and got the machine set up. Then she put what looks like a small camera lens, coated in a gooey jelly, directly on my eye. This propped the eyelid open so I was free to blink whenever I wanted and could even close my other eye. There is a light similar to the BRIGHT BLINDING light in the slit microscope. My chin was on the chinrest and forehead on the bar, also like the slit microscope. There were some velcro straps, I guess to keep the head still if necessary but she didn’t use them on me.
Then she did a few “tests” to determine the power necessary. The tests were the first few lasers. There is a bright flash of light and a sort of “puff” noise like an old fashioned camera flash going off. In some parts it hurt right away, some it took 8-10 flashes to hurt. The pain was more “discomfort” but since it was so unfamiliar it was pretty awful. It feels like someone is yanking on your optic nerve. She let me take breaks whenever I needed to. Each time I asked her to take the lens off my eye cause it didn’t take much to get it back on. She said that contact lens wearers have an easier time with the lens.
As my eye got more and more “numb” it felt REALLY weird when she’d take the lens off. I was able to take 294 blasts before I had to stop. She tries to do 500 per session (you typically need around 3 from what I understand). Next time I will take some Aleve before I go so I can hopefully tolerate more. When she took the lens off for the last time, keeping my eye open was pretty painful. The numbing made it feel like my eyelid was drooping but my husband said that the affected eye was actually open wider. The whole ride home I kept my eyes closed.
As soon as I got home I took some Aleve and got in bed for awhile to keep my eyes closed. When I woke up after an hour or so, the numbing had worn off and I felt a lot better. Now there’s some pain, similar to when my contact gets dry and I take it out and it sort of “sticks.” I feel some pressure, too. It’s the worst when I blink. No real vision changes aside from the blurriness from the floaters and some weird residual images/colors from the lasers, which she said might happen.